The National Organization of Vascular Anomalies Conference 
Announcement & Registration!!!! 

 

 

 

 
 

 

 

 The National Organization of Vascular Anomalies Presents the

2005 Family Conference

 

 

Hemangioma and Vascular Malformations:

More Than a Birthmark

 

 

 

Friday June 24, 2005 – Sunday June 26, 2005

Sheraton Imperial Hotel and Conference Center

Research Triangle, NC

 

 

Medical Faculty:

Denise Adams, MD Pediatric Hematology/Oncology, Cincinnati, OH

Sherry Bayliff, MD Pediatric Hematology/Oncology, Lexington, Kentucky

Francine Blei, MD Pediatric Hematology/Oncology, New York, NY

Steven J. Fishman MD Pediatric Surgery, Boston, Massachusetts

M. Sean Freeman, MD Plastic Surgery, Charlotte, NC

Maria Garzon, MD  Dermatology, New York, NY

John Gregory, MD Pediatric Hematology/Oncology, Hackensack, NJ

Charles James, MD Interventional Radiology, Little Rock, AK

Doug Marchuk, PhD Medical Genetics, Durham, NC

Martin Mihm, MD Dermato-pathology, Boston, MA

John Mulliken, MD Plastic Surgery, Boston, MA

John Reinisch, MD Plastic Surgery, Los Angeles, California

Milton Waner, MD Otolaryngology, New York, NY

 

Our clinical team of nationally renowned physicians will present information on the diagnosis and treatment of hemangioma and vascular malformations.  The most current medical information will be presented.  The physicians will be available for personal consultations.  Consultations are by appointment only on a first come basis.  Advanced registration is required. 

 

Travel Arrangements should be made through the Raleigh/Durham International Airport.

 

Arrange Hotel Accommodations through the Imperial Hotel and Conference Center

(919)941-5050.  Rooms need to be reserved under NOVA guest for the discounted rate. 

 

Friday June 24, 2005:

            3:00 pm                        Registration and Welcome and Reception

Saturday June 25, 2005

            8:00 am -1:00pm           Seminar Presented by our Guest Faculty

            2:00 pm -                      Medical Clinic

Sunday June 26, 2005             

7am – 8 am                  Prayer and Dedication Service

8am-10am                    Breakfast Buffet & Closing Reception 

 

Don’t miss this opportunity to learn and share with people that are dedicated to this field!

For More information on the conference and patient clinic contact

NOVA

PO Box 0358 Findlay OH  45840

Email: hemangnews@msn.com


 

The National Organization of Vascular Anomalies Conference Registration 

 

The National Organization of Vascular Anomalies

2005 Family  Conference

Hemangioma and Vascular Malformation:  More than a Birthmark

 

Name of Patient Registering:____________________________________________________

 

Telephone:_________________________Email:____________________________________

 

Address:____________________________________________________________________

 

Number of People to attend conference on ___________

 

Names of people to attend conference: include date of birth if under 18:

__________________________________   _______________________________

 

.________________________________  _______________________________

 

_________________________________    _______________________________

 

Do you want the patient to be seen by the physicians in a clinical setting?___________

 

If yes please include a $25.00 registration processing fee for each registering patient.

 

 

 

·          NOVA cannot guarantee consultations with any particular physician.  Please do not contact the physician’s offices regarding patient appointments for the conference.

 

 

 

 

 

 

 

Please Return Registration to:

NOVA

PO Box 0358 Findlay OH  45840

Email: hemangnews@msn.com

 

 


Attach recent photo here.

 
 


2005 Hemangioma & Vascular Malformation
Annual Family Conference

“Hemangioma and Vascular Malformation: More than a Birthmark

 

Patient Registration for Clinical Appointment

 

Name of Registered Patient:_________________________ Date of Birth_________

 

Telephone:_________________________Email:____________________________

 

Address:____________________________________________________________

 

Name of Parent or Guardian if minor:______________________________________________________________

 

Diagnosis of Vascular Anomaly:___________________________________________________________

 

Location of Vascular Anomaly:___________________________________________________________

 

Name & Address of Primary Care Physician:__________________________________________________________

 

___________________________________________________________________


Please provide a brief history of the vascular anomaly and all treatment to date, attach any relative medical reports and a recent picture of the lesion.  Use additional paper if needed.  If you have X-ray or MRI films bring them to the conference.  Return with a color photo of lesion and serial photos demonstrating changes in the lesion until present. 

 

 
 

 

 

 

 

 

 

 

 

 

 

 

 

 

Official use only:

Date Received in office: _____

 

Registration #____________

 

Appointment time__________

 

Team Assignment___________

 

 
 

 

 

 

 

Return to: NOVA PO Box 0358 Findlay, OH  45840 or fax 419-425-1593

 Email hemangnews@msn.com